Gary Ellenbogen, D.D.S.
Gary Ellenbogen is a General Practice Dentistry provider (Dentist) practicing in Vienna, VA, registered in the NPPES registry with NPI 1770653495 since 2006. The credential DDS stands for Doctor of Dental Surgery.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1770653495 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Gary Ellenbogen |
| Credential | D.D.S. |
| Sex | Male |
| Practice address | 8100 BOONE BLVD, Vienna, VA, 22182 |
| Phone | 7037341095 |
| Fax | 7037149330 |
| Enumeration date | 2006-11-09 |
| Last updated in NPPES | 2013-09-11 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 5562 | VA |
DDS — Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential
Copy-ready billing details
Provider: Gary Ellenbogen, D.D.S. NPI: 1770653495 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 8100 BOONE BLVD, Vienna, VA, 22182
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1700905635 | Dental Associates | Organization | Dental Clinic/Center | Vienna, VA |
| 1619113388 | Marjan Yousefi, M.D., P.C. | Organization | Dermatology Physician | Vienna, VA |
Verify this record
Cross-check NPI 1770653495 against the authoritative CMS record: view Gary Ellenbogen on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-09-11.